Tamanna Azim

Primary specialty

DentistTaxonomy code 122300000X

License

019.033947 Issued in IL

Practice address

8301 S Holland Rd Ste B
Chicago, IL 60620-1303

Phone

(773) 488-2444

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1124752647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 RUTGERS DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853881",
            "telephone_number": "248-925-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 S HOLLAND RD STE B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606201303",
            "telephone_number": "773-488-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4516 S Damen Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606093013",
            "country_code": "US",
            "telephone_number": "773-869-0201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AZIM",
        "first_name": "TAMANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.033947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahliqa Azeem
• Omar Azem, MD
• Asma Azhar, D.O.
• Sameena V Azhar, LCSW
• Samiya Azim, MD
• Abdul Ahad Mohammed Azimuddin, MD, MBA
• Mana Azimzadeh, PHARMD
• Nasrin Azimzadeh, D.M.D.
• Nava Azimzadeh
• Aamir Abdul Aziz, MD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.